Personal history of adult physical and sexual abuse

This code indicates a patient's documented past experience of physical and/or sexual abuse as an adult. It signifies that the abuse is no longer ongoing but has occurred at some point in the patient's adult life. This history can impact current health conditions and treatment plans.

Apply this code when a patient's medical record clearly documents a history of physical and/or sexual abuse that occurred when they were 18 years of age or older, and the abuse is not currently happening. This is often relevant for mental health evaluations, chronic pain management, or when past trauma influences present health concerns.

• Do not use this code if the abuse is ongoing; refer to the Excludes1 notes for current abuse codes.
• Ensure the documentation specifies the abuse occurred during adulthood.
• This code is typically a secondary diagnosis, supporting the primary reason for the encounter.